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Old 09-25-2013, 01:45 PM
 
17,373 posts, read 24,625,888 times
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Perhaps the physician locator service of the Denver Medical Society can refer you to the right doctor.
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Old 09-26-2013, 09:04 PM
 
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Is this in any way related to a subutex/suboxen management plan issue? If so I have some other ideas i can direct message you.
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Old 09-26-2013, 09:31 PM
 
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No. Thanks though. We are going to also look into medical marijuana for her seizures, and see if it works enough on her pain, but we need a transitionary pain doc at the least since she can't just stop taking medications.
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Old 11-14-2014, 05:16 PM
 
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I am having exact same problem. Please respond what you found out.
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Old 11-14-2014, 05:51 PM
 
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Ok, this is what we've learned. Sorry I forgot to update.

In Colorado, medication management is simple. Any family doctor can prescribe your meds. That's why the pain management doctors don't deal with it usually. The family doc will refer you to a procedure doc when it's time for a procedure (or to evaluate whether you need one). Just find yourself a family doc, when you are getting setup with your appointment make sure to verify that they can keep your pain management medications going, and then make sure you are bringing your records with you. In many ways it is significantly easier in Colorado than it was in Texas. I don't know why no one could tell us this though. The pain management doctor offices should have simply said that family practice manages medication here.

Simple situation to resolve, just took a while to figure it out.
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Old 11-14-2014, 08:14 PM
 
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You must relate your pain to something. You should always have a primary care doctor to help you make decisions. He will know what specialty treats what condition. If it is arthritis, lupus etc. then a Rheumatologist. It is neuralgia, then a Neurologist. If it related to an injury then you need to go to the right doctor to treat that injury. If its pain that has no causal relationship (idiopathic) and is difficult to diagnose then you need a Primary Care doctor to coordinate your care, perhaps with multiple specialists. If you problem is very complex then again, your primary care doctor is the one to seek.

There is another medical specialist that is not too known to the general public and that is a Physiatrist. Read all about it here and perhaps discuss this specialty for a referral, This type of doctor does deal with chronic pain.
What is a Physiatrist?

If you just want some medications for pain, then it unethical and perhaps a violation of federal and state law for any physician to give you medications without an evaluation diagnosis. Many prescription pain medications are controlled substance and consequently required more oversight.

So, find a primary care Physician and get an evaluation.

Livecontent

Last edited by livecontent; 11-14-2014 at 08:25 PM..
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Old 11-28-2014, 06:37 PM
 
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When dealing with continuation of care, where other specialists have already determined there is no other treatment besides pain medication, or perhaps injections once or twice a year, these doctors should have simply said to go to the family doctor. I called dozens, including physiatrists (or tried to) and not one said to go to the family doctor for continuation of care. I never found a physiatrist that handled medication.

Each state handles this differently apparently. In Texas, you have to go to a pain management doctor. That's true of other states as well. It's nice that it's setup more simply here, except that the information was almost impossible to come by. Since no one can have more than 1 month supply on hand, those moving here need to know this information.
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Old 11-30-2014, 09:57 AM
 
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Family doctors are not trained pain management specialists.
I am a family doctor in Denver. That is incorrect information.
Family doctors can prescribe pain medication but most will be hesitant with proper documentation.
Colorado is #2 in the country for prescription drug abuse and this is a major problem.
Pain management is a specific specialty that requires board certification.
A pain management team will often have a clinical pharmacist and clinic psychologist/psychiatrist who will also help manage these patients.

Please do not expect to find a family doctor who will just give you pain medications without thoroughly obtained records and evaluating the reasons you are taking pain medications.
Without doing so would be very unethical.
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Old 12-01-2014, 04:16 PM
 
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I was very specifically asking about continued pain management. I made it very clear that we had medical records supporting this. It wasn't shopping for someone to just hand out drugs. But when someone has been on medications and treatments for a few years, with documentation to support it, to not say they can simply see a family doctor, at least for the immediate needs, is irresponsible as well.
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Old 12-01-2014, 08:39 PM
 
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Quote:
Originally Posted by butchjax View Post
I was very specifically asking about continued pain management. I made it very clear that we had medical records supporting this. It wasn't shopping for someone to just hand out drugs. But when someone has been on medications and treatments for a few years, with documentation to support it, to not say they can simply see a family doctor, at least for the immediate needs, is irresponsible as well.
I am sure you have records to document whatever reason it is that you are taking pain medications for.
However even given that information, that does not always justify the need for taking whatever pain medication you are on.
Many patients are on very high dosages of opioid pain medications and there is no justification for this in most cases (very high meaning more than 100 mg equivalents of morphine daily).

I was just clarifying the information you have written on here stating the Family Doctors manage pain here in Colorado.
That is just plain and simple not correct. Any doctor can theoretically manage pain including internists, OB/GYN, neurologists, spinal specialists, etc.
Being a family doctor does not give them any special training to be pain specialists. In fact most family doctors are not comfortable with chronic pain management.

There is a huge push in Colorado recently to crack down on providers who are over prescribing pain medication including limiting the quantity of pills allowed (new legislation passed in August) to be distributed for a given period of time. I am just trying to be realistic to let you know that the expectation should not be that any doctor you see will continue you on pain medication that you were taking. Many will, however vast majority will not. Many will try to decrease your dosage, switch your medications, and perhaps find other non-opioid alternative treatments that are safer and also proven to treat chronic pain.
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